Dba Lexington Family Practice Gilbert | |
4080 Augusta Hwy Gilbert SC 29054-8893 | |
(803) 892-1800 | |
(803) 892-1800 |
Full Name | Dba Lexington Family Practice Gilbert |
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Speciality | Family Medicine |
Location | 4080 Augusta Hwy, Gilbert, South Carolina |
Authorized Official Name and Position | Melinda Sarvis (EXECUTIVE VICE PRESIDENT) |
Authorized Official Contact | 8037912000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dba Lexington Family Practice Gilbert 470 Hulon Lane Attn: Vp Revenue Cycle West Columbia SC 29169-4841 Ph: (803) 791-2000 | Dba Lexington Family Practice Gilbert 4080 Augusta Hwy Gilbert SC 29054-8893 Ph: (803) 892-1800 |
NPI Number | 1528091303 |
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Provider Enumeration Date | 07/07/2006 |
Last Update Date | 01/07/2019 |
Identifier | Type | State | Issuer |
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1528091303 | NPI | - | NPPES |
GP2522 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |